MS. Donna J Sullivan, PA-C

NPI #1396796843 in Grinnell, Iowa

Provider Information

NPI Number: 1396796843
Entity Type: Individual
Name: MS. Donna J Sullivan, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 12, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 210 4TH AVE
City: Grinnell
State: Iowa
ZIP Code: 50112-1898
Phone: (641) 236-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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